Ysbyty Gwynedd MDT

The Ysbyty Gwynedd MDT incorporates Ysbyty Gwynedd in Bangor http://www.wales.nhs.uk/sitesplus/861/home

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT

Data Quality

All Patients: Trust Network National
Number of patients in Audit 132 1933 31676
Case ascertainment (%) 100 110 95
Data completeness of:
– Pre-treatment TNM (%) 85 89 80
– Performance status (%) 95 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 89 1220 19218
ASA grade 1 (%) 1 9 11
ASA grade 2 (%) 63 59 53
ASA grade 3 (%) 35 30 28
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 87 92 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 132 1933 31676
Seen by Clinical Nurse Specialist (%) 88 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 42 434 7416
Major resection rate in potentially curative patients (%) 90 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 89 1220 19218
Distant metastases (%) 13 10 8
Urgent or emergency surgery (%) 19 19 15
At least 12 lymph nodes excised (%) 85 85 84
Laparoscopic surgery attempted (%) 45 52 69
Risk-adjusted length of stay > 5 days (%) 83 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 11837
Adjuvant chemotherapy (%) N/A N/A 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 291 4588
Neoadjuvant therapy (%) 67 30 33
Circumferential resection margin: Negative (%) 69 86 80
Circumferential resection margin: Recorded (%) 81 91 90
APER rate (%) 25 29 25

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